Sébastien Bailly1, Julie Haesebaert2, Evelyne Decullier2, Patricia Dargent-Molina3, Cedric Annweiler4, Olivier Beauchet4, Anne-Marie Schott5, Muriel Rabilloud6. 1. Service de Biostatistique, Hospices Civils de Lyon, F-69003 Lyon, France; CNRS UMR 5558, Laboratoire de Biométrie et Biologie Evolutive, Equipe Biotatistique-Santé, F-69100 Villeurbanne, France. Electronic address: sbailly@chu-grenoble.fr. 2. Pôle Information Médicale Evaluation Recherche, Hospices Civils de Lyon, F-69003 Lyon, France; INSERM U1033, F-69000 Lyon, France. 3. INSERM, UMR S953, IFR 69, Epidemiological Research Unit in Perinatal Health and Women's and Children's Health, F-94807 Villejuif, France; Université Pierre et Marie Curie (Université Paris 6), UMR S953, F-75005 Paris, France. 4. Département de Neurosciences, Division de Gériatrie, Centre Hospitalier Universitarie d'Angers, F-49100 Angers, France; UPRES EA 2646, Université d'Angers, F-49000 Angers, France; Université Nantes Angers Le Mans, F-44200 Nantes, France. 5. Pôle Information Médicale Evaluation Recherche, Hospices Civils de Lyon, F-69003 Lyon, France; INSERM U1033, F-69000 Lyon, France; Université de Lyon, F-69000 Lyon, France; Université Lyon 1, F-69100 Villeurbanne, France. 6. Service de Biostatistique, Hospices Civils de Lyon, F-69003 Lyon, France; CNRS UMR 5558, Laboratoire de Biométrie et Biologie Evolutive, Equipe Biotatistique-Santé, F-69100 Villeurbanne, France; Université de Lyon, F-69000 Lyon, France; Université Lyon 1, F-69100 Villeurbanne, France.
Abstract
OBJECTIVES: To assess long-term survival of community-dwelling elderly women after a fall according to various characteristics of whom four falling profiles. METHODS: The study included 329 women (mean age±SD: 84±3.5 years). Phone interviews were conducted every four months over four years to investigate the occurrence of falls and fill out a specific questionnaire. The vital status was checked up to 13 years after these four years. An accelerated failure-time model was used to estimate the effect of the falling profiles on women survival. RESULTS: During the four-year follow-up, 86 women (26%) belonged to the "outside falls" profile, 63 (19%) to "environmental falls", 140 (43%) to "inside falls", and 40 (12%) to "falls from height". At 13 years, the survival probability was estimated at 20.8% [95% CI: 16.4-25.2%]. On average, women with "inside falls" had shorter survivals in comparison with each of the other falling profiles. Kaplan-Meier survival curves showed also shorter survivals of these women vs. all other women grouped together (HR=1.33 [1.02-1.73], p=0.03). CONCLUSION: Elderly women with inside falls had shorter survivals than others. Indoor falls could be markers of an underlying frailty and should trigger adequate prevention and protection measures.
OBJECTIVES: To assess long-term survival of community-dwelling elderly women after a fall according to various characteristics of whom four falling profiles. METHODS: The study included 329 women (mean age±SD: 84±3.5 years). Phone interviews were conducted every four months over four years to investigate the occurrence of falls and fill out a specific questionnaire. The vital status was checked up to 13 years after these four years. An accelerated failure-time model was used to estimate the effect of the falling profiles on women survival. RESULTS: During the four-year follow-up, 86 women (26%) belonged to the "outside falls" profile, 63 (19%) to "environmental falls", 140 (43%) to "inside falls", and 40 (12%) to "falls from height". At 13 years, the survival probability was estimated at 20.8% [95% CI: 16.4-25.2%]. On average, women with "inside falls" had shorter survivals in comparison with each of the other falling profiles. Kaplan-Meier survival curves showed also shorter survivals of these women vs. all other women grouped together (HR=1.33 [1.02-1.73], p=0.03). CONCLUSION: Elderly women with inside falls had shorter survivals than others. Indoor falls could be markers of an underlying frailty and should trigger adequate prevention and protection measures.
Authors: Omar Aziz; Jochen Klenk; Lars Schwickert; Lorenzo Chiari; Clemens Becker; Edward J Park; Greg Mori; Stephen N Robinovitch Journal: PLoS One Date: 2017-07-05 Impact factor: 3.240
Authors: Ana Silvia Puente-González; Felipe Sánchez-González; Juan Elicio Hernández-Xumet; María Carmen Sánchez-Sánchez; Fausto José Barbero-Iglesias; Roberto Méndez-Sánchez Journal: Medicine (Baltimore) Date: 2020-09-18 Impact factor: 1.817